BRAD HOLIFIELD, D.M.D., P.A. (NPI# 1780764902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780764902 |
| Entity Type | Organization |
| Organization Name | BRAD HOLIFIELD, D.M.D., P.A. |
| Practice Address |
3221 Audubon Dr Laurel MS 39440-1422 |
| Practice Telephone | 6016493900 |
| Practice Fax Number | 6015187860 |
| Mailing Telephone | 6016493900 |
| Mailing Fax Number | 6015187860 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | DR. BRAD HOLIFIELD (DOCTOR / PRESIDENT) |
| Authorized Official Telephone | 6015772723 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
PER-201-87 | MS | Dental Providers |
| Street Address |
3221 AUDUBON DR |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548618622 | Brad Holifield | Dentist | 3221 Audubon Dr, Laurel, MS 39440-1422 | 2016-05-30 |
| 1952763690 | Davis Family Dentistry, Inc | Dentist | 3221 Audubon Dr, Laurel, MS 39440-1422 | 2016-03-22 |
| 1629277629 | Dr. Shelley H, Davis Dmd | Dentist | 3221 Audubon Dr, Laurel, MS 39440-1422 | 2007-07-11 |
| 1144430778 | Shelley L Holifield | Dentist | 3221 Audubon Dr, Laurel, MS 39440-1422 | 2007-05-23 |
| 1629288626 | Susannah Shook | Dentist | 3221 Audubon Dr, Laurel, MS 39440-1422 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376533208 | Ronnie Kent Jones | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2005-10-22 |
| 1801884390 | Jeffrey Henry Brain | Dentist | 8363 Cherry Ln, Laurel, MD 20707-4831 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497112825 | Mississippi Periodontics and Implants Pllc | Dentist | 218 West Jackson Street, Ridgeland, MS 39157 | 2016-01-15 |
| 1932531373 | North Mississippi Periodontics & Implant Dentistry Pllc | Dentist | 103 Park Gate Ext, Tupelo, MS 38801-3038 | 2013-08-08 |
| 1851640437 | Ms Periodontic Specialists Group, Pllc | Dentist | 209 Woodline Dr., Flowood, MS 39232 | 2012-08-29 |
| 1790069854 | Periodontal Associates of Jackson, P.a. | Dentist | 406 Briarwood Dr., Ste. 101, Jackson, MS 39206 | 2011-10-06 |
| 1992997159 | Rodney C Richardson | Dentist | 1609 24th Ave, Meridian, MS 39301-3112 | 2007-08-13 |
| 1699966770 | Brenda Lyle Fowler | Dentist | 2408 S Lamar Blvd, Suite 3, Oxford, MS 38655-5345 | 2007-08-05 |
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1417166703 | R. Clarke Stewart | Dentist | 406 Briarwood Dr Ste 101, Jackson, MS 39206-3059 | 2007-05-22 |
| 1750594412 | James Michael Robertson | Dentist | 103 Parkgate Drive Extended, Tupelo, MS 38801-3038 | 2007-05-08 |
| 1134341407 | Nichols Periodontics LLC | Dentist | 2401 5th Street North, Suite 2, Columbus, MS 39705 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.